HEALTH CLUSTER Situation Report No 10 • The Philippines / Typhoon Bopha (Pablo) A. Cluster Details 1. Lead Organization: Department of Health / World Health Organization 2. Cluster Website: 3. Focal Point Contact Details: Dr Gerardo P Medina Technical Officer Emergency and Humanitarian Action WHO Mobile # 0908 863 3163 Landline 02 528 9765 Email: [email protected] B. Reporting Period 1. Report Number: HC SitRepNo. 10 2. Report Date: 8 January 2013 3. Time Period Covered: 4-7 January 2013 C. Humanitarian Needs As of the 25 December 2012 (the last SitRep issued by the NDRRMC), the total population affected by the typhoon is 711,682 families (6,243,998 persons) in 348 cities and municipalities, 34 provinces, in Region 4B, 6, 7, 8, 9, 10, 11, 12, and CARAGA. The number of evacuation centers as increased from 63 to 87, mostly in Compostela Vally, Agusan Del Sur, and Surigao Del Sur, but housing lesser number of families at 3,011 families / 13,940 persons. Those affected living outside of evacuation centers number 223,486 families or 959,267 persons. There is no change in the figures from the previous report. There are at least 1,067 deaths, 2,666 injured, and 834 still missing. Of the 342 unidentified remains, majority are in Compostela Valley province. Majority of the 834 missing are from New Bataan, Compostela Valley and General Santos City. There is no change in the figures from the previous report. Updated figures from the DOH show: In Davao Oriental, out of 112 barangay health stations (BHS), 54 have sustained structural damage (49 complete, 5 partial). 2 out of a total of 5 hospitals reported physical damage (1 complete, 1 partial). Out of 11 RHUs, 4 sustained damage (9 complete, 2 partial). In Compostela Valley, out of 257 BHS, 92 reported damages (9 complete, 83 partial). All 4 government hospitals sustained partial damage. 6 out of the 11 RHUs sustained partial damage. (Department of Health HEARS Report of 8 Jan 2013). Supporting local health officials on implementation of Minimum Initial Service Package on Reproductive health (including Adolescent Sexual and Reproductive Health) is highly required. Among the badly affected groups are hospital and rural health unit staff, leaving the vulnerable population among the affected communities in dire need of providers of specialized health care and medicines. In particular, there is an urgent need for provision of pre-natal, post-natal check-up and supply of dignity kits for pregnant and lactating women, with special consideration for teenage mothers in affected communities. Surveillance in Post Extreme Emergencies and Disasters (SPEED) system reports have come in from Compostela, Monkayo, Montevista, and New Bataan in Compostela Valley; Baganga, Boston, and Cateel in Davao Oriental, and; Lingig in Surigao Del Sur. Acute respiratory infections remain the most common cause of consultations in reporting sites. In both Compostela Valley and Davao Oriental there are still fluctuating trends of acute respiratory infection seen, partly due to the number of medical consultations done and regularity of health facility reporting. There are still diarrhea cases being reported but the numbers are generally not as high as in previous weeks. Decreasing trend of acute watery diarrhea is being seen in Compostela Valley. In Davao Oriental there is still a fluctuating trend of acute watery diarrhea, partly due to the number of reporting health facilities, particularly in the municipality of Baganga. D. Humanitarian Response The DOH central office and other DOH regional offices continue to augment medicines, medical services, and other needs. Composite teams rendering medical, MHPSS, WASH, and Nutrition services were deployed in Boston, Cateel, Baganga, Caraga, Manay, and Taragona in Davao Oriental. Similar teams were likewise deployed in Laak, Monkayo, Montevista, Compostela, and New Bataan in Compostela Valley. Reports of suspected measles, acute watery diarrhea and suspected leptospirosis continue to be verified by the DOH regional office, supported by the DOH National Epidemiology Center. Mass immunization for measles targeting children continues in both Compostela Valley and Davao Oriental affected municipalities. The WHO supported disease surveillance in Baganga, Boston, and Cateel by orienting local health staff and NGO partners on the use of the SPEED system. Telecommunications kit has also been provided to facilitate submission of reports. The PRC continue to provide health services to patients through its Emergency Health Station, mobile clinics, mobile x-ray, health education sessions, and ambulance conduction in Baganga, among other areas. It is likewise supporting implementation of SPEED. Merlin teams are providing medical consultation, prenatal and postnatal care, nutrition assessment, distribution of RUSF, health/hygiene promotion, breastfeeding promotion in their priority areas of Boston, Cateel, and Baganga in Davao Oriental, serving more than 1,100 patients within the reporting period. Merlin also provides support to disease surveillance. Plan International has setup 57 tents in New Bataan to serve as venues for their health, MHPSS, and other response activities. Humanitarian Medical Assistance from Japan has provided medical services to 568 patients in various barangays of Baganga. 39 male and 45 female youth volunteers from Compostela, Monkayo, Montevista and New Bataan municipalities were oriented on Adolescent Sexual Health and Rights in Emergencies (ASHRiE).Topics covered included key messages on the implementation of Minimum Initial Service Package for Reproductive Health and necessary database management skills for the conduct of RH Medical Missions and Hygiene Kits distribution missions in affected barangays. Provincial RH Working Group (RHWG) meetings in Davao Oriental and Compostela Valley, led by the respective Provincial Health Offices and attended by focal persons from the Municipal Health Offices, the Department of Health, Incidence Command Posts, the Local Population Offices and Family Planning Organization of the Philippines (FPOP) identified issues regarding lack of functionality of the EmONC networks, availability of doctors for the conduct of mobile RH clinics, and availability of life-saving drugs for emergency obstetric care. E. Gaps & Constraints Persistence of inclement weather has further affected access to health services. Damaged, nonfunctional health facilities with typhoon-affected health workers continue to hamper health service delivery, especially RH. Telecommunications and accessibility issues continue to hamper disease surveillance. Many groups conducting mobile medical clinics do not provide exit reports, making it difficult for health authorities to follow up patients suspected of having diseases with outbreak potential. .